Call 888-690-7072, E-mail cathy@cathychurch.com, or FAX 607-330-3509 to confirm availability, then send your reservation form and deposit by FedEx to: Cathy Church, Cathy Church's Underwater Photo Centre, 390 South Church Street, Grand Cayman, KY1-1106 CAYMAN ISLANDS.)
We recommend that you set your page setup for 80%, so the entire form prints on one page.

Reserve a place for me (us) to:

Trip #1 is full. Sign me up for the waiting list.____Trip #1: Indonesia (Maumere-Ambon) aboard the MSY Sea Horse September 18 - October 1, 2010 -- Share double- $5110.00* per person when paying by check or cash. Send $500 for waiting list. This is fully refundable if we cannot accomodate you.

____ Trip #2: Indonesia (Ambon-Sorong) aboard the MSY Sea Horse October 2-14, 2010, Share double--$4765.00* per person when paying by check or cash.

Flights are being booked now and the hotels are filling so book your travel to Bali as soon as possible. Flights within Indonesia (Bali to Ambon or Sorong) will be handled by the folks who run the MSYSea Horse.

Send a your payment in full. Since we are past the date for refunds due to cancellation, we highly recommend trip cancellation insurance.

Enclosed is my payment of $___________.

Please make checks payable to Cathy Church. Call for wire (bank) transfer info.
* Add 4% if paying by Credit Card, (Note rates for checks and credit cards described on the web page for your trip. Check whether your credit card charges you for sales out of the US even when charged in US dollars. Some cards may charge cardholders .8 to 2% without notifying you in big print.)

Name _____________________________ Signature _______________________________
Card Type (Check One): Visa _____ MasterCard _____ Discover _____

Card Number ___________________________________________ Expiration Date __________

Liability Agreement: I understand that Cathy Church's services are limited to photo coaching, and that she, Herb Rafael and any of their staff are not responsible for any actions of any airline, hotel, dive boat, or any other business or individual whose services I may use during any portion of the trip. Cathy Church, Herb Rafael and any of their staff are not responsible for my safety, or my baggage while en route or while staying at any hotel or on any dive boat.

Signature(s) ___________________________________________ Date _________________

Name(s) _________________________________ Phone: Home _______________________

Address _________________________________ Phone: Bus ________________________

___________________________________________

Email _________________________________ FAX ________________________________

Last updated: March 20, 2010